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Deficiency Records for Betty Dare Wellness and Rehabilitation LLC
View the most recent health deficiencies and inspection results for Betty Dare Wellness and Rehabilitation LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Betty Dare Wellness and Rehabilitation LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-02-16 | 2026-02-20 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-02-16 | 2026-02-20 | Y |
| Assess the resident when there is a significant change in condition | Health | 2026-02-16 | 2026-02-20 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-02-16 | 2026-02-20 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-16 | 2026-02-20 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-16 | 2026-02-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-02-16 | 2026-02-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-16 | 2026-02-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-16 | 2026-02-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-30 | 2026-01-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-12-30 | 2026-01-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-30 | 2026-01-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-30 | 2026-01-28 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-11-21 | 2025-12-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-11-21 | 2025-12-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-11-21 | 2025-12-29 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-21 | 2025-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-21 | 2025-12-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-11-21 | 2025-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-21 | 2025-12-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-11-21 | 2025-12-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-21 | 2025-12-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-11-21 | 2025-12-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-11-21 | 2025-12-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-11-21 | 2025-12-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide or obtain dental services for each resident. | Health | 2025-11-21 | 2025-12-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-21 | 2025-12-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-21 | 2025-12-29 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-07-09 | 2025-07-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-30 | 2025-07-01 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-05-30 | 2025-07-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-30 | 2025-07-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-30 | 2025-07-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-30 | 2025-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-30 | 2025-07-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-30 | 2025-07-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-15 | 2024-09-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-15 | 2024-09-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-15 | 2024-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-15 | 2024-09-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-15 | 2024-09-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-15 | 2024-09-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-08-15 | 2024-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-09-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-08-15 | 2024-09-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-10 | 2023-12-08 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-10 | 2023-12-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-10 | 2023-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-10 | 2023-12-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-10 | 2023-12-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-10-10 | 2023-12-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-10 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-12-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-10 | 2023-12-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-10 | 2023-12-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-10 | 2023-12-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-10 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-10 | 2023-12-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-10 | 2023-12-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-10 | 2023-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-10 | 2023-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-10 | 2023-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-10 | 2023-12-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-10 | 2023-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-10 | 2023-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-10 | 2023-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-10 | 2023-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-11 | 2022-12-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-10-11 | 2022-12-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-11 | 2022-12-23 | N |